Organization Active NPI

Owensboro Ambulatory Surgical Facility LTD

  • Ambulatory Surgical Clinic/Center
  • Owensboro, KY
National Provider Identifier
1013973825
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OWENSBORO AMBULATORY SURGICAL FACILITY LTD
Practice address
1000 Breckenridge St
Suite 100
Owensboro, KY 42303-0839
Phone
(270) 683-2751
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard L Sharff Jr.
Title
VP/Secretary
Phone
(205) 545-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1000 Breckenridge St
Suite 100
Owensboro, KY 42303-0839

Mailing address

1000 Breckenridge St
Suite 100
Owensboro, KY 42303-0839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000451 KY Part B Supplier - Ambulatory Surgical Center 6800835513 Practice locations: Owensboro, KY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Owensboro Ambulatory Surgical Facility LTDCCN 18C0001006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1013973825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRECKENRIDGE ST",
            "address_2": "SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRECKENRIDGE ST",
            "address_2": "SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030839",
            "telephone_number": "270-683-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO AMBULATORY SURGICAL FACILITY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "SHARFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/SECRETARY",
        "authorized_official_telephone_number": "205-545-2572",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.